Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.28 / $4,876.00 / $18,600.00	Facility		$1,003.28	$4,876.00	$18,600.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,481.18 / $14,780.21 / $23,258.65	Facility		$9,481.18	$14,780.21	$23,258.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $733.43 / $1,325.43 / $12,719.00	Facility		$733.43	$1,325.43	$12,719.00
Medica Facility/Professional Facility Modifier 22 Low / Median / High Price $4,147.88 / $4,147.88 / $4,147.88	Facility	22	$4,147.88	$4,147.88	$4,147.88
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,570.00 / $6,980.00 / $13,541.98	Facility		$1,570.00	$6,980.00	$13,541.98